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Oral Cancer and salivary glands Flashcards

(71 cards)

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1
Q

Most common mutated gene in oral cancer

A

p53

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2
Q

Verrucous carcinoma

A

AKA Ackerman tumor
Slow growing tumor associated with HPV good prognosis

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3
Q

Difference between Candidiasis and leukoplakia

A

Candidiasis can not be rubbed off
Leukoplakia can be rubbed off

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4
Q

Which kind of leukoplakia has highest risk of malignancy

A

Specked leukoplakia

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5
Q

What is the management of oral submucous fibrosis?

A

Intralesional triamcinolone (also used in keloid costochondritis and ganglion)

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6
Q

What if antioxidant management fail in leukoplakia and candidiasis patient

A

CO2 laser excision / cautery

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7
Q

PV syndrome is AKA

A

Patterson, Kelly Brown syndrome
Syderopenic dysphagia

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8
Q

MC site for metastasis

A

Lung

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9
Q

What is commando procedure?

A

WLE + Neck dissection + Mandibulectomy

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10
Q

Deltopectoral flap use based on the perforator of

A

Internal mammary artery

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11
Q

PMMC flap based on the pectoral branch of the

A

Thoracoacromial vessel

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12
Q

Abbe estlander flap/ lip switch flap is use as the

A

Angle of mouth reconstruction

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13
Q

Circumoral advancement flap is also known as

A

Karpandazic flap

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14
Q

Which flap is most commonly used for mandibular reconstruction

A

Free fibular flap ( based on peroneal vessels )

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15
Q

Which flap is used for dentate mandible

A

Iliac crest flap(based on the deep circumflex iliac artery )

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16
Q

Management of lip cancer in less than 1/3 of area

A

Resection and primary closure

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17
Q

Management of lip cancer in 1/3to 2/3 area

A

Johansson / stepladder approach

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18
Q

Management of lip cancer in greater than 2/3 of area

A

Flap(Abbe estlander)

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19
Q

Buccal mucosal tumor management approaches

A

Intraoral approach,
lip slit approach
Visor approach
Weber freguson apprpach (for maxillectomy)

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20
Q

What is the most common prognostic factors for oral cancers?

A

Cervical lymph node status 

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21
Q

Thyroid and laryngeal cancer, first train to which lymph node

A

VI

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22
Q

Which incision is made in the
neck dissection ?

A

Modified schoebinger incision

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23
Q

Which structures are removed in RND ?

A

Level I to V LN are removed + three extra lymphatic structure are removed
Internal jugular vein,
spinal accessory nerve sternocleidomastoid muscle

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24
Q

Which structures are removed in MRND ?

A

Level I to V LN are removed + but at least one extra lymphatic structure is saved
MRND I ; spinal accessory nerve is saved
MRND II ; both spinal accessory nerve and Internal jugular vein saved
MRND III : all 3 saved (functional neck, dissection)

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25
SND includes
CND (level VI remove; thyroid cancer) SOHND (I,II,III Removed) Extended SOHND (level I to IV removed )
26
How to prevent injury to marginal mandibular nerve/Ramus mandibularis
Incision should be at least two finger breadths below angle of mandible
27
What is dentigerous cyst ?
A cyst in relationship to an unerupted tooth
28
Most commonly involved teeth in dentigerous cyst is
3rd Molar
29
Diagnosis of ameloblastoma is made by
X-ray/OPG (orthopentagram)
30
Name blind areas where tumor can be missed
The oral pharyngeal and nasal pharyngeal region floor of the mouth retromolar trigone tonsillar fascia, pyriform sinus Fossa of rosenMuller
31
What is Stafne bone cyst
Itis the most common site for ectopic salivary tissue It is cyst in mandible
32
What is ranula?
A.k.a. frog belly, Ranula is mucus extravasation cyst involving the sublingual salivary gland. It is a cystic swelling in the floor of the mouth fluctuation & transillumination are positive.
33
What is contraindicated in management of ranula?
I & D
34
Most common structure, injured in surgery of salivary glands disease
Submandibular duct
35
Most common nerve , injured in surgery of salivary glands disease
Lingual nerve
36
What is plunging ranula?
Mucus retention cyst ( involving sublingual and submandibular gland)
37
Which management is used in parotid abscess?
Incision and drainage using Hiltons method
38
Which sign is seen an x-ray of a patient presents with the recurrent parotitis
Snowstorm appearance
39
Which sign is Sinon images of a patient presents with HIV parotitis
Swiss cheese appearance
40
What is Kuttner’s tumor
Chronic sclerosing Sialadenitis involving submandibular gland
41
What is sialoloithiasis?
Stone formation in the salivary glands
42
sialoloithiasis is more common in
Submandibular glands > parotid gland
43
in sialoloithiasis most common composition is
Calcium phosphate, 80% Stone are radio opaque
44
What is the meal time syndrome
Painful postprandial, neck swelling lasting 1 to 2 hours
45
The most common structure, injured in submandibular gland, stone surgery
Lingual Nerve
46
Most common benign tumor of salivary gland
Pleomorphic adenoma
47
Most common benign tumor of salivary gland in children
Hemangioma
48
Most common malignant salivary gland tumor
Mucoepidermoid cancer
49
What is the second most common malignant salivary gland tumor
Adenoid cystic cancer
50
What is the most common bilateral parotid tumor ?
Warthin tumor
51
What is the IOC for pleomorphic adenoma?
FNAC
52
Which gene mutation is responsible for pleomorphic adenoma
PLAG 1 gene
53
What is BLEL
Caused by CMV Also called Godwin tumor If it undergoes malignant changes, it is called eskimoma Management : excision
54
Which gene fusion is responsible for mucoepidermoid cancer
CRTCI-MAML2 gene fusion
55
Which incision is made in parotid surgery
Lazy Z incision / modified Blair incision
56
 What to do if facial nerve is sacrificed (like in total radical parotidectomy)
A cable graft is used to bridge the gap best nerve used for this is the Sural Nerve Most commonly used is the greater auricular nerve
57
Most important pointer for the facial nerve injury
It is 1 cm inferior in deep to the tragal pointer/ conley pointer
58
Which nerve is implicated in the frey’s syndrome / gustatory sweating / dupuy syndrome/ auriculotemporal syndrome
Auriculotemporal nerve
59
How does parotid fistula of the duct is managed
By Newman and Seabrook surgical procedure
60
Most common tumor of submandibular gland
Pleomorphic adenoma
61
Most common malignant tumor of submandibular gland
Adenoid, cystic, carcinoma
62
Most common sublingual tumor
Adenoid cystic cancer
63
Most common theme of minor salivary gland
Adenoid cystic carcinoma MC site ; hard palate
64
Symptoms if intercoastobrachial nerve is injured
Anesthesia in axilla post MRM
65
Symptoms if greater auricular nerve is injured
Anesthesia while shaving Seen in post parotidectomy
66
Symptoms of spinal accessory nerve is injured
Shoulder dysfunction after neck dissection
67
Symptoms if Iliohypogastric nerve is injured
Chronic inguinal pain after open inguinal hernia surgery
68
Symptoms if marginal mandibular now is injured
Drooping of angle of mouth
69
Structures which are injured in submandibular gland, surgery
Marginal, mandibular nerve Lingual nerve Hypoglossal nerve Anterior facial nerve Facial artery
70
In submandibular gland, stones stones proximal to the lingual nerve retrieve via
Intraoral surgical approach
71
Most common site of branchial cyst is
Junction of the upper and middle third of the SCM

Surgery (30 decks)

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